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Licensing details for: 9365

Name: CRYSTAL DENTAL PRACTICE OF ARASH AGHAKHANI DDS INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

1125 E. 17TH STREET
STE. W127
SANTA ANA CA 92701
ORANGE county
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Practice Location

1125 E. 17TH STREET
STE. W127
SANTA ANA CA 92701
ORANGE county
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Issuance Date

May 24, 2011

Expiration Date

February 28, 2018

Current Date / Time

June 7, 2025
2:25:47 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AGHAKHANI, ARASH

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: AGHAKHANI, ARASH

License/Registration Type: Dentist License

License Number: 42106 Primary Status: Current - Active

Address :
3315 ALTA ARDEN EXPRESSWAY
SACRAMENTO CA 95825
SACRAMENTO COUNTY

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